Individual provider Active NPI

David Xuan-Khoa Le, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1013309426
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009885 Issued in IL
Practice address
8 S Michigan Ave Ste 1007
Chicago, IL 60603-3453
Phone
(312) 609-5300
NPI assigned
Feb 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Psychologist 103T00000X 0810006361 VA
Clinical Psychologist 103TC0700X 071009885 IL Primary

Addresses

Primary practice location

8 S Michigan Ave Ste 1007
Chicago, IL 60603-3453

Mailing address

8 S Michigan Ave Ste 1007
Chicago, IL 60603-3453
Phone (312) 609-5300

Other practice location 1

737 N Michigan Ave
Suite 1520
Chicago, IL 60611-2615
Phone (312) 257-2985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011001207 IL Practitioner - Clinical Psychologist 1759789431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810006361VAMDPsychologist
071009885ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Oct 21, 2021 Accepting new patients
Cook County CurrentSince Oct 21, 2021 Accepting new patients
Openloop Healthcare Partners PC Psychologist CurrentSince Aug 1, 2023 Accepting new patients
Cook County Current Accepting new patients
Imaging Resource Centers LTD PastSince Aug 1, 2023 Accepting new patients

Locations

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1013309426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE STE 1007",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033453",
            "telephone_number": "312-609-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE STE 1007",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033453",
            "telephone_number": "312-609-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 N Michigan Ave",
            "address_2": "Suite 1520",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112615",
            "country_code": "US",
            "telephone_number": "312-257-2985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "DAVID",
        "middle_name": "XUAN-KHOA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-21",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810006361",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.